Equilibrium segregation of Ti to Au–sapphire interfaces

Equilibrium segregation of Ti to Au–sapphire interfaces was measured from dewetted Au(Ti) films on the (0001) surface of sapphire. Quantitative energy dispersive spectroscopy was used to determine a Ti excess at the Au–sapphire interface of 2.2 Ti atoms/nm², which together with an excess of 4.6 Ti atoms/nm² at the (0001) sapphire surface, is associated with a decrease in the solid–solid Au–sapphire interface energy. Quantitative high resolution transmission electron microscopy showed that the segregated Ti is distributed within a 1.54-nm thick intergranular film at the Au–sapphire interface, which is not a bulk phase but rather an equilibrium interface state. As a result, Ti segregation without the formation of a bulk reaction at the interface is associated with a decreased interface energy, improved wetting, and may be an important part of the total complex mechanism responsible for improved wetting and spreading in “reactive” braze systems.     

Calcium-dependent and -independent binding of the pentraxin serum amyloid P component to glycosaminoglycans and amyloid proteins: enhanced binding at slightly acid pH

It has been found that sphingosine and sphingosylphosphorylcholine (amphiphilic cations) have a stimulatory, and cholesterol 3-sulfate (an amphiphilic anion), an inhibitory, effect on [14C]serine incorporation into phosphatidylserine in glioma C6 and rat liver microsomes. In glioma intact cells sphingosine stimulates phosphatidylserine synthesis in a process independent of protein kinase C, but suppressed by thapsigargin. We suggest that the stimulation of the enzyme occurs by the interaction of amphiphilic cations with the membrane cosubstrate phospholipids, leading to a charge redistribution on their phosphate groups, and hence facilitating the enzyme action. A new hypothesis concerning the mechanism of the serine base exchange reaction is discussed.     

Interaction of Carbohydrates with Phosphatidylcholine Inverse Micelles

Small angle X-ray scattering experiments indicate that egg phosphatidylcholine dissolved in benzene at a concentration of 12–50 mM organizes into approximately isometric inverse micelles with a size that depends upon the amount of water present. These inverse micelles can serve as self-assembled hosts for monosaccharide derivatives. For a given amount of water, addition of carbohydrates causes an increase in the micelle size. In contrast, cyclohexane solutions of egg phosphatidylcholine contain highly anisotropic structures, possibly elongated rods. Monosaccharide derivatives can be extracted into these structures and are bound, at low water content, to the polar head groups. Upon addition of water the sugar is probably displaced from the polar head groups and gains some motional freedom in the water pool which is formed. This fact indicates that the polar head group of phosphatidylcholine interacts, probably by means of hydrogen bond formation, with monosaccharides and brings about their solubilization in nonpolar solvents.     

Relation between macroscopic and microscopic dielectric relaxation times in water dynamics

A simplified derivation for the ratio of macroscopic to microscopic relaxation times of polar liquids is based on the Mori-Zwanzig projection-operator technique, with added statistical assumptions. We obtain several useful forms for the lifetime ratio, which we apply to the dynamics of liquid water. Our theoretical single-molecule relaxation times agree with the second Debye relaxation times as measured by frequency-domain dielectric spectroscopy of water and alcohols. From the theory, fast relaxation modes couple to the Debye relaxation time, τ_d, through very large water clusters, and their temperature dependence is similar to that of τ_d. Slower modes are localized to smaller water clusters and exhibit weaker temperature dependence. This is exemplified by the lifetime ratios measured by time-domain dielectric spectroscopy and optical Kerr effect spectroscopy, respectively.     

Minor advocacy in healthcare: a proposal for a more efficient solution

Autonomy is a crucial, yet litigious right in health care that is usually unquestioned in the case of adults. However, children's or their guardian's refusal to accept necessary medical care can expedite the question of autonomy from the medical to the legal arena. Therefore, to save time, money, and lives, the health care establishment, specifically ethics committees, must be given rights as a judicial body to hand down binding judgments in cases of minors refusing the medical community's standard of care.     

Management considerations for treating vesicoureteral reflux in children with solitary kidneys

OBJECTIVES: To evaluate the management approach for vesicoureteral reflux (reflux) into a solitary kidney. METHODS: Outcomes of all children with solitary kidneys and reflux managed between 1981 and 1996 were reviewed. Solitary kidneys were documented by nuclear renography and ultrasonography; reflux was graded after cystography. Management consisted of observation and antimicrobial prophylaxis or surgery by ureteroneocystostomy or subureteric injection of polytetrafluoroethylene (STING). Follow-up ranged from 3 months to 14 years and included serial cystography, sonography, and serum creatinine measurement. RESULTS: Twenty-one patients with a median follow-up of 26 months were identified. Etiologies included contralateral renal agenesis (14 children), multicystic dysplastic kidney (5 children), or nonfunctioning ureteropelvic junction obstruction (2 children). Low-grade (I to II) reflux was identified in 6 children, and high grade (III to V) was identified in 15. Reflux resolved in 20 patients. Five children with low-grade reflux were managed without surgery and demonstrated reflux resolution after a mean of 20.5 months. Renal function deteriorated in only 1 child. Ureteroneocystostomy was performed in 13 children with grades III to V reflux, and STING was performed in 1 child with grade II reflux. Every surgical patient maintained stable renal function and was infection-free during a mean follow-up of 56 months. Management by observation in 2 children with grades IV to V reflux resulted in spontaneous resolution in one and stable grade IV in the other. CONCLUSIONS: Reflux into the solitary functioning kidney may be managed by the same strategies used to manage unilateral reflux in children with two normally functioning kidneys: low-grade reflux by observation/ chemoprophylaxis until spontaneous resolution occurs, and higher grades by surgery to protect renal function; however, chemoprophylaxis and serial imaging may be used until well-defined indications for surgery are satisfied. Renal function should be monitored diligently.     

The Kinetic Inversion Problem in Ligand-Binding Heme Proteins

For a two-dimensional potential of intersecting parabolic bowls, we obtain an analytical approximation for the survival probability in the limit that the reactive mode is diffusive and the perpendicular protein mode frozen. The approximation is used in an automated computer algorithm for determining the parameters of the potential. Using this program, we are able to obtain a reasonably good fit to the low- temperature data of CO binding to horse myoglobin. We find, however, that features of the potential such as the saddle-point energy and the effective barrier, expected to dictate the high-temperature kinetics, are not uniquely determined for this potential from fitting the low-temperature data.     

Finasteride and flutamide as potency-sparing androgen-ablative therapy for advanced adenocarcinoma of the prostate

OBJECTIVES: Androgen ablation with luteinizing hormone-releasing hormone (LHRH) agonists, orchiectomy, or oral estrogens has significant untoward sexual side effects. We evaluated a combination of finasteride and flutamide as potency-sparing androgen ablative therapy (AAT) for advanced adenocarcinoma of the prostate. In addition, we evaluated whether finasteride provided additional intraprostatic androgen blockade to flutamide. METHODS: Twenty men with advanced prostate cancer were given flutamide, 250 mg orally three times daily. Serum prostate-specific antigen (PSA) values were measured weekly. At a nadir PSA value, finasteride, 5 mg orally every day, was added. PSA values were then measured weekly until a second nadir PSA value was achieved. Sexual function was evaluated at baseline, at the second nadir PSA value, and every 3 months thereafter. Testosterone, dihydrotestosterone (DHT), and dehydroepiandrostenedione (DHEA) levels were measured at baseline and at the first and second nadir PSA values. RESULTS: The median follow-up period was 16.9 months. Therapy failed in 1 patient with Stage D2 disease at 12 months, but an additional response to subsequent LHRH agonist therapy was observed. One patient developed National Cancer Institute grade 3 diarrhea and was withdrawn from the study. Seven of 20 men developed mild gynecomastia, and 3 of 20 developed mild transient liver function test elevations. Mean PSA levels were 94.6 +/- 38.2 ng/mL at baseline and 7.8 +/- 2.7 and 4.7 +/- 2.2 ng/mL at the first and second PSA nadir values, respectively (P = 0.034). Mean percent decline in PSA value from baseline was 87.0 +/- 3.1% with flutamide alone and 94.0 +/- 1.9% with both flutamide and finasteride (P = 0.001). Eleven of 20 men were potent at baseline. At the second nadir PSA value, 9 (82%) of 11 were potent, whereas 2 (18%) of 11 were impotent. With longer follow-up (median 16.4 months), 6 (55%) of 11 men were potent, 2 (18%) of 11 were partially potent, and 3 (27%) of 11 were impotent. With flutamide alone, testosterone rose a mean of 77 +/- 14.7% of baseline (P = 0.0001), DHEA fell a mean of 32.4 +/- 4.6% (P = 0.0001), and DHT was unchanged. With the addition of finasteride, testosterone rose another 14 +/- 6% (P = 0.06, not significant), DHEA was unchanged, and DHT fell a mean of 34.8 +/- 4.7% (P = 0.0009). CONCLUSIONS: Finasteride and flutamide were safe and well tolerated as AAT for advanced prostate cancer. Finasteride provided additional intraprostatic androgen blockade to flutamide, as measured by additional PSA suppression. Sexual potency was preserved initially in most patients, although there was a reduction in potency and libido in some patients on longer follow-up. Further evaluation of this therapy is needed.     

Multistable self-trapping of light and multistable soliton pulse propagation

It is demonstrated that a nonlinear Schrödinger equation with certain nonlinearities allows for an existence of multistate single solitons (i.e., single solitons with the same carried power but different propagation parameters). In nonlinear optics, these solitons may exist either in the form of short bistable pulses, or bistable self-trapping (both two- and three-dimensional).